JESSICA B BARRA FNP-C NPI 1114406519

NPI Information

NPI: 1114406519
Provider Name: JESSICA B BARRA, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
951 MARINERS ISLAND BLVD STE 300
SAN MATEO, CA
ZIP 94404
Phone: (772) 217-4557
Get Directions

Jessica B Barra, FNP-C is a family nurse practitioner in San Mateo, CA. Jessica B Barra, FNP-C NPI is 1114406519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

951 MARINERS ISLAND BLVD STE 300
SAN MATEO, CA
ZIP 94404-560
Phone: (772) 217-4557
Fax: (888) 352-7383

The NPI 1114406519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2018 and was last updated on 3/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	44356	WYOMING	No
2	363LF0000X	Nurse Practitioner	Family	APRN-2727	HAWAII	No
3	363LF0000X	Nurse Practitioner	Family	AP60983710	WASHINGTON	No
4	363LF0000X	Nurse Practitioner	Family	819746	NEVADA	No
5	363LF0000X	Nurse Practitioner	Family	54965	NEW MEXICO	No
6	363LF0000X	Nurse Practitioner	Family	RN285115	GEORGIA	No
7	363LF0000X	Nurse Practitioner	Family	70	FLORIDA	No
8	363LF0000X	Nurse Practitioner	Family	AP11576	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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